@layout("/common/_form.html",{js:["/assets/payee/payee_add.js"]}){

<form class="layui-form" id="payeeForm" lay-filter="payeeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入收款类型" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <p>1，微信。2，支付宝。3，银行卡</p>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款类型id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="payid" name="payid" placeholder="请输入收款类型id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款图(银行卡号)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="pic" name="pic" placeholder="请输入收款图(银行卡号)" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">用户名(卡名)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="account" name="account" placeholder="请输入收款账号(卡名)" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">收款账号(银行卡类型)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="请输入手机号(银行卡类型)" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>

@}